Summary
Fracture of the tibial tuberosity is an uncommon injury and rarely occurs after closure of the proximal tibial epiphysis. Three cases of tibial tuberosity fracture over a period of 11 years were treated by open reduction, internal fixation, and immobilization for 6 weeks in plaster of Paris (1970–1980). The postoperative follow-up times were 5, 6, and 7 years. No subsequent deformities were detected. Two patients had secondary posttraumatic patella infera without any symptoms. All patients returned to normal activity. The results demonstrated that this injury in the adolescent knee heals without deformity of functional loss when adequate reduction and fixation of the fracture fragments have been achieved.
Zusammenfassung
Frakturen der Tuberositas tibiae sind selten und treten kaum nach dem Epiphysenschluß auf. Im Zeitraum von 11 Jahren (1970–1980) wurden drei Fälle von Tuberositastibiae-Fraktur operativ durch Reposition und interne Fixation sowie postoperative Immobilisation im Gips für 6 Wochen behandelt. Die Beobachtungszeiten waren 5, 6 und 7 Jahre. Sekundäre Deformierungen wurden nicht beobachtet. Zwei Patienten hatten eine symptomlose Patella infera posttraumatica. Es konnte keine Behinderung der Aktivität der Patienten festgestellt werden. Die Ergebnisse zeigen, daß diese Verletzung der Epiphysenplatte des wachsenden Kniegelenkes ohne Deformität der Tibia oder Funktionsverlust ausheilt, wenn eine adäquate Reposition und Fixation erzielt wird.
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References
Blount WP (1955) Fractures in children. Williams & Wilkins, Baltimore, p 175
Becker D (1983) Abriss der jugendlichen Tuberositas tibiae-Typisierung und Therapieempfehlungen einer Falldemonstration. Z Orthop 121:320–323
Bowers KD (1981) Patellar tendon avulsion as a complication of Osgood-Schlatter disease. Am J Sports Med 9:356–359
Brandesky G, Salen G (1961) Die Fractur der Tuberositas Tibiae. Chirurg 32:517–519
Christie MJ, Dvonch VM (1981) Tibial tuberosity avulsion fracture in adolescents. J Pediatr Orthop 1:391–394
Clarke HO (1935) Discussion on fracture of the tibia involving the knee joint. Proc R Soc Med 28:1035–1050
Deliyanis SN (1975) Avulsion of the tibial tuberosity: Report of two cases. Injury 4:341–344
DePalma AF (1954) Diseases of the knee. Lippincott, Philadelphia London Montreal, pp 207–209
Ehrenborg G, Lagergren C (1961) The normal arterial pattern of tuberositas tibiae in adolescents and growing dogs. Acta Chir Scand 121:500–512
Gill JG, Chakrabarti HP, Becker SJ (1983) Fractures of the proximal tibial epiphysis. Injury 14:324–331
Hand WL, Hand CR, Dunn AW (1971) Avulsion fractures of the tibial tubercle. J Bone Joint Surg [Am] 53:1579–1583
Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101–105
Insall J, Goldberg V, Salvati E (1972) Recurrent dislocation and the high-riding patella. Clin Orthop 88:67–69
Laurin CA, Levesque HP, Dussault R, Labelle H, Peides PJ (1978) The abnormal lateral patellofemoral angle. A diagnostic roentgenographic sign of recurrent patellar Subluxation. J Bone Joint Surg [Am] 60:55–60
Laurin CA, Dussault R, Levesque HP (1979) The tangential X-ray investigation of the patellofemoral joint. X-ray technique, diagnostic criteria and their interpretation. Clin Orthop 144-16–26
Levi JH, Coleman CR (1976) Fracture of the tibial tubercle. Am J Sports Med 4:254–263
Mayba II (1982) Case report. Avulsion fracture of the tibial tubercle apophysis with avulsion of patellar ligament. J Pediatr Orthop 2:303–305
Ogden JA, Southwick WO (1976) Osgood-Schlatter's disease and tibial tuberosity development. Clin Orthop 116:180–189
Ogden JA, Tross RB Murphy MJ (1980) Fractures of the tibial tuberosity in adolescents. J Bone Joint Surg [Am] 62:205–215
Schwarzkopf W, Ahlers J, Kirschner P (1980) Abrisse und Fracturen der Tuberositas tibiae. Unfallheilkunde 83:360–365
Schönbauer HR (1957) Brüche der Tuberosita tibiae. Monatsschr Unfallheilkd 60:83–88
Unglaube H (1955) Ein Beitrag zur Abrissfraktur der Tuberositas tibiae. Zentralbl Chir 80:1372–1375
Watson-Jones (1955) Fractures and joint injuries. Livingstone, Edinburgh London, pp 785–788
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Vainionpää, S., Böstman, O., Pätiälä, H. et al. Fracture of the tibial tuberosity in adolescents. Arch. Orth. Traum. Surg. 104, 20–22 (1985). https://doi.org/10.1007/BF00449951
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DOI: https://doi.org/10.1007/BF00449951